Courtney Lasumner Bass, NP Valid NPI

Individual provider · Nurse Practitioner · Midvale, UT

NPI

1871241950

Type

Individual (Type 1)

Primary specialty

Nurse Practitioner

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363L00000X

License number

9321350-4405 (UT)

Sex

Male

Sole proprietor

Yes

Enumerated

2022-03-16

Last updated

2024-10-20